| NPI | 1144705401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICA ANN CASTORIA Owner 302-836-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |